Individual provider Active NPI

Stephanie Rachel Nainani, MD

  • Obstetrics & Gynecology Physician
  • Mesquite, NV
National Provider Identifier
1326056573
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17054 Issued in NV
Practice address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone
(702) 346-0800
Fax
(702) 346-0801
NPI assigned
Aug 4, 2006
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17054 NV Primary
Obstetrics & Gynecology Physician 207V00000X MD194211 OR

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Mailing address

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone (702) 346-0800

Other practice location 1

1925 Whipple Ave. Ste. 30
Logandale, NV 89021
Phone (702) 398-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120000527 UT Practitioner - Obstetrics/Gynecology 4284638586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 4650
Ogden, UT 84403-3294
Phone (801) 475-3240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Ogden Clinic PC Obstetrics & Gynecology Current Accepting new patients
Walla Walla General Hospital Past Accepting new patients
Wwu Campus Health & Wellness Past Accepting new patients

Locations

4403 Harrison Blvd
Ste 4650
Ogden, UT 84403
Phone (801) 387-4400

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA
  • Direct secure messaging: nainanis@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1326056573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Whipple Ave. Ste. 30",
            "address_purpose": "LOCATION",
            "city": "Logandale",
            "state": "NV",
            "postal_code": "89021",
            "country_code": "US",
            "telephone_number": "702-398-3621",
            "fax_number": "702-398-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAINANI",
        "first_name": "STEPHANIE",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "17054",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD194211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.